Provider Demographics
NPI:1548409592
Name:ALVAREZ, BRIAN ESPEDIDO (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:ESPEDIDO
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 BEECHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-1809
Mailing Address - Country:US
Mailing Address - Phone:513-943-3680
Mailing Address - Fax:513-943-3699
Practice Address - Street 1:4600 BEECHWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-1809
Practice Address - Country:US
Practice Address - Phone:513-943-3680
Practice Address - Fax:513-943-3699
Is Sole Proprietor?:No
Enumeration Date:2009-02-16
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY42384207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3078860Medicaid
KYP00839835OtherRAILROAD MEDICARE
KY7100094620Medicaid
OH3078860Medicaid
KY008580031Medicare PIN